Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidBashir Lone
    Ask Trek AI about this page

    Bashir Lone — Billing Profile & Reimbursement Data

    NPI 1205862943 · Columbia, SC · Interventional Cardiology Physician

    Customize your policy alerts

    Sign up for Bashir Lone — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Bashir Lone is a interventional cardiology physician provider located in Columbia, South Carolina. This profile covers 45 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBashir Lone
    Address2001 Laurel St
    CityColumbia
    StateSC
    ZIP29204
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedJune 24, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$245K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…810$80$68.2K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…80$400$31.8K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…110$170$19.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…200$90$17.6K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…220$80$16.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…180$60$10.9K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…50$190$8.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$100$5.9K
    93459In this procedure, the provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into the…30$190$5.5K
    92937The provider inserts a catheter through the skin (percutaneous approach) and guides it into a coronary artery bypass graft, which is a surgically created blood vessel that reroutes blood around a…10$410$5.3K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78452227290110$200$25.8K
    93306231450230$80$23.9K
    992146617,860160$80$23.2K
    A9500102110170$90$18.7K
    92928510030$380$13K
    J2785146160240$40$12.9K
    992328712,78090$60$12K
    992137,6107,690100$60$10.8K
    992333301,77080$90$10.7K
    93458816050$180$9.9K

    Showing 1–10 of 45

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Bashir Lone, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverside Radiology And Interventional Associates IncOHDiagnostic Radiology Physician$0$30.3M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Musc Community PhysiciansSCInternal Medicine Physician$0$16.7M
    Musc Community PhysiciansSCFamily Medicine Physician$0$5.6M
    Charles ButlerSCInternal Medicine Physician$3.8M$0
    Lindsay GambleSCFamily Nurse Practitioner$3.7M$0
    Aaron FlandersFLHematology & Oncology Physician$3.5M$0
    Woodrow CokerSCHospitalist Physician$2.6M$0
    Scott SommersSCHematology & Oncology Physician$2.3M$0
    Mohamed El GeneidySCHematology & Oncology Physician$2.1M$0

    Nearby Providers

    Other providers in the same ZIP code as Bashir Lone, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eau Claire Cooperative Health Center, Inc.SCFederally Qualified Health Center (FQHC)$0$84.5M
    South Carolina Mentor, Inc.SCMental Illness Community Based Residential Treatment Facility$0$54.8M
    County Council For Richland CountySCAmbulance$4M$12.4M
    Providence Hospital, LLCSCGeneral Acute Care Hospital$0$12.7M
    Family Preservation Community ServicesSCCommunity/Behavioral Health Agency$0$11.1M
    Pediatric Associates, P.A.SCPreferred Provider Organization$0$7.6M
    Two Notch Road Dental Health CenterSCGeneral Practice Dentistry$0$5.7M
    She's Counseling Trichology & Consulting LLCSCProfessional Counselor$0$5.4M
    Guardian Angel Home Care Services,llcSCHome Health Agency$0$5.3M
    All Medical IncSCDurable Medical Equipment & Medical Supplies$0$5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Bashir Lone — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina